EVERETT DENTAL
NPI 1255421699
Dentist in Everett, MA

Active since October 14, 2006
459 BROADWAY, EVERETT, MA 02149(617) 389-2005(617) 389-1007 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Everett Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERETT DENTAL (NPI 1255421699) is a healthcare organization registered as a dentist in Everett, Massachusetts and active in the NPI registry since October 2006. The organization lists Ekaterina Mamulashili, Owner, as its authorized official.

NPPES Registry Identity

NPI1255421699
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameEVERETT DENTAL MANAGEMENT CO.
Location Address459 BROADWAYEverett, MA 02149-3614
Mailing Address459 BroadwayEverett, MA 02149-3614 · (617) 389-2005 · Fax (617) 389-1007
Fax(617) 389-1007
Organization SubpartNo
Authorized OfficialEkaterina MamulashiliOwner · (617) 389-2005
Enumeration DateOctober 14, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1255421699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MA · 21211
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

459 BROADWAY, Everett, MA 02149

Other Names 1

Doing Business AsEverett Dental

Other Identifiers 1

Medicaid9756761MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
459 BROADWAY
EVERETT, MA 02149
Dentist
459 BROADWAY
EVERETT, MA 02149
Podiatrist
459 BROADWAY
EVERETT, MA 02149
Dentist
459 BROADWAY
EVERETT, MA 02149
Dentist (General Practice)
459 BROADWAY
EVERETT, MA 02149
Podiatrist (Foot Surgery)
459 BROADWAY
EVERETT, MA 02149
Home Health
459 BROADWAY, SUITE 306
EVERETT, MA 02149
Podiatrist
459 BROADWAY
EVERETT, MA 02149

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Everett Dental Management Co.'s NPI number?

The NPI number for Everett Dental Management Co. is 1255421699. It was assigned to this organization in the NPPES registry on October 14, 2006. The provider is doing business as Everett Dental.

Where is Everett Dental Management Co. located?

Everett Dental Management Co. is located at 459 Broadway, Everett, MA 02149. The listed phone number is (617) 389-2005.

What is Everett Dental Management Co.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Everett Dental Management Co. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.